EMSSTAR LLC NPI 1023270428

NPI Information

NPI: 1023270428
Provider Name: EMSSTAR LLC

Doing Business As: EM-STAR AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3800 JASPER ST
UNIT 3
PHILADELPHIA, PA
ZIP 19124
Phone: (215) 764-8803
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EMSSTAR LLC is a land transport ambulance in Philadelphia, PA. EMSSTAR LLC NPI is 1023270428. The provider is registered as an organization entity type.
The provider Is Doing Business As Em-star Ambulance Service.

The provider's business location address is:

3800 JASPER ST
UNIT 3
PHILADELPHIA, PA
ZIP 19124-631
Phone: (215) 764-8803
Fax: (215) 827-5608

The provider's authorized official is Dean A Bollendorf .
The authorized official title is President and has the following contact phone number (215) 764-8803.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 6/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	EMST22015	NEW JERSEY	No
2	343900000X	Non-emergency Medical Transport (VAN)		EMST22015	NEW JERSEY	No
3	3416L0300X	Ambulance	Land Transport	04228	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1011955800001	MEDICAID	PENNSYLVANIA
2	0077488	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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